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Related Concept Videos

An Overview of the Endocrine System01:10

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The endocrine system, a complex network of glands, orchestrates physiological balance within the body through the production and secretion of hormones. These hormones are chemical messengers in intercellular communication, acting as conduits between the secretory cells and distant target sites. They traverse the circulatory system by being released into the extracellular fluid, and their impact is specific to cells possessing receptors for a particular hormone.
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The intricate framework of the endocrine system encompasses a diverse array of glands, with their target tissues and organs strategically distributed throughout the body. Central to this network are the endocrine glands, specialized structures that lack ducts and release hormones directly into the interstitial fluid. Notably, the hypothalamus, a vital neuroendocrine organ situated in the brain, governs neural functions and serves as a potent source of hormonal regulation. Near the hypothalamus...
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Mapping endocrine surgery: Workforce analysis from the last six decades.

Vikram D Krishnamurthy1, Judy Jin1, Allan Siperstein1

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Summary

The endocrine surgery workforce shows more general surgeons, fellowship-trained specialists, and women. Regional disparities in endocrine surgeon distribution require attention for improved patient access and training.

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Area of Science:

  • Surgical Workforce Analysis
  • Endocrine Surgery Demographics

Background:

  • Analysis of high-volume surgeons (HVS) performing endocrine operations.
  • Characterization of HVS demographics including region, specialty, gender, and training.

Purpose of the Study:

  • To analyze the demographic trends of high-volume surgeons in endocrine operations.
  • To identify factors influencing surgeon distribution and professional society membership.

Main Methods:

  • Demographic data of 395 HVS across 47 states (1958-2011) were analyzed.
  • Surgeons were categorized by specialty (general surgery, otolaryngology), fellowship training, and practice entry decade.

Main Results:

  • High-volume surgeons were predominantly general surgeons (68%), fellowship-trained (35%), and AAES members (35%).
  • Fellowship-trained general surgeons and endocrine surgery specialists performed more operations.
  • Increased representation of fellowship-trained general surgeons, endocrine surgery specialists, AAES members, and females observed over decades.

Conclusions:

  • The endocrine surgery workforce is increasingly composed of general surgeons, fellowship-trained individuals, and women, aligning with recent fellowship graduate profiles.
  • Understanding reasons for non-AAES membership among HVS is crucial.
  • Addressing regional disparities can optimize surgeon placement, enhance trainee exposure, and improve patient access to specialized endocrine care.